Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Saints Medical Group, LLC

Saints Medical Group, LLC was paid $614K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 54% of everything it billed.

33Billing provider infoSAINTS MEDICAL GROUP, LLC
OKLAHOMA CITY, OK 73102
33aNPI1588953939assigned 04/06/2011
28Total paid$614K
24GClaims8,330
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Cardiovascular Disease Physician providers in Oklahoma

Rank by total paid#6 of 25
Median peer was paid$127K
This provider vs. median4.8×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official PENA, CRYSTAL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018164$12K
2019113$8K
202070$5K
2021719$60K
20222,429$167K
20232,343$169K
2024incomplete2,492$194K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 54% 4,054 3,994 $330K
99232 Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity 19% 1,893 667 $118K
99223 Prolong inpt eval add15 m 8.7% 342 334 $54K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 8.7% 440 440 $54K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1.7% 176 176 $10K
G2066 Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results 1.4% 348 347 $9K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.3% 152 152 $8K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 1.2% 120 120 $8K
93298 1.2% 314 299 $7K
99215 Doctor's office visit, returning patient (complex)Prolong outpt/office vis <1% 51 49 $6K
99233 Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m <1% 60 26 $6K
93016 <1% 81 81 $1K
6 more codes
93018 <1% 81 $862.89
93000 <1% 80 $779.10
93296 <1% 40 $531.27
93922 <1% 57 $528.13
99406 <1% 29 $374.21
76937 <1% 12 $146.12

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialPENA, CRYSTAL (INSURANCE CREDENTIALING SPECIALIST)
Parent organizationSSM HEALTHCARE OF OK, INC
Same official

Other billing entities under PENA, CRYSTAL

Full network →
ProviderLocationPaid
Saint Medical Group, LLCEl Reno, OK$1.42M
SSM Healthcare of Ok, INCOklahoma City, OK$1.42M
Saints Medical Group, LLCOklahoma City, OK$1.36M
Saints Medical Group, LLCOklahoma City, OK$1.17M
Saint Medical Group, LLCEl Reno, OK$1.15M
Saints Medical Group, LLCMustang, OK$904K
Saints Medical Group, LLCOklahoma City, OK$896K
Shawnee Medical Center Clinic, INC.Seminole, OK$828K
SSM Health Care of Oklahoma INCOklahoma City, OK$751K
Saints Medical Group, LLCOklahoma City, OK$640K
Saint Medical Group, LLCOklahoma City, OK$551K
SSM Healthcare of Ok, INCOklahoma City, OK$535K
Saint Medical Group, LLCOklahoma City, OK$494K
Saints Medical Group, LLCPurcell, OK$455K
Saints Medical Group, LLCOklahoma City, OK$368K
Saints Medical Group, LLCOklahoma City, OK$357K
Saint Medical Group, LLCHarrah, OK$343K
Saints Medical Group, LLCOklahoma City, OK$315K
SSM Healthcare of Oklahoma, INCOklahoma City, OK$183K
Saints Medical Group, LLCOklahoma City, OK$174K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.